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39 Cards in this Set

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Ventricular Depolarization

What does the QRS Complex represent

10 small boxes

What should the standardization box in an ECG measure

Refractoriness

What is the term used to describe the period of recovery that cells need after being discharged before they are able to respond to a stimulus

"Re"covery - like time to think before responding

Right Coronary Artery

The SA node and AV node are supplied by this artery

ST Segment

The portion of the ECG tracing between the QRS complex and the T wave

R wave

The first positive deflection seen on the ecg after the p wave

Right and Left bundle branches

In the heart's conduction system, these receive an electrical impulse from the bundle of His and relays it to the Purkinje fibers in ventricular myocardium

Compare P-P intervals

How do you determine whether the atrial rhythm on an ecg tracing is regular or irregular?

Repolarization of the Purkinje fibers

What are the U waves thought to represent?

SA Node

The heart's primary pacemaker is located where

In the right atrium

Q wave

The first negative deflection seen after the P wave

ST segment

The end of the qrs complex to the beginning of the t wave is what segment?

Hyperkalemia

Tall, peaked T waves observed on the ecg are most commonly seen in patients with what excessive amount of an element

Potassium

60-100 beats

The intrinsic rate of the SA node

20-40 bpm

The intrinsic rate of the purkinje fibers

Chest leads

V1 v2 v3 v4 v5 v6

Right arm

Where is the negative electrode placed in lead II?

Mechanical (contractile) condition of the myocardium

The ecg does not provide information about what?

Left leg/foot

Where is the positive electrode placed in Lead III?

PR Segment

This segment represents the time necessary for the spread of an electrical impulse through the AV node, bundle of His, right and left bundle branches, and Purkinje fibers

Purkinje fibers

In the heart's conduction system, These receive an electrical impulse from the right and left bundle branches and relay it to the ventricular myocardium

PR Interval

On the ecg, this duration is the time necessary for the spread of an electrical impulse from the sa node through the av node, bundle of His, right and left bundle branches and the purkinje fibers

0.20

The PR interval is prolonged if it is more than how many seconds in duration?

0.06-0.12

The normal duration of the qrs complex is how many seconds?

Inferior

Leads II III and aVf views this surface of the heart

Depolarization ; depolarization

On an ecg, the p wave represents atrial ____________?


And the qrs complex represents ventricular___________?

40-60 bpm

The intrinsic rate of the av junction

Absolute refractory period

The period during the cardiac cycle when cells cannot respond to a stimulus, no matter how strong

False statement about PRIs

The PR interval normally lengthens as the heart rate increases. This statment is incorrect!

Myocardial cells

These cells are working cells of the heart that contain contractile filaments and form the muscular layer of the atrial walls and the thicker muscular layer of the ventricular walls

Ventricular repolarization

What does the T wave represent?

The impulse followed an ABNORMAL PATHWAY or WAS DELAYED IN THE AREA OF AV NODE

What is the significance of a PR interval measuring less than 0.12 OR more than 0.20 seconds

Automaticity

The ability of cardiac cells to spontaneously initiate an electrical impulse without being stimulated from another source

Pacemaker

These cells are specialized cells of the electrical conduction system responsible for the spontaneous generation and conduction of electrical impulses

QT Interval

This is measured from the beginning of the qrs complex to the end of the t wave

Depolarize

The cell does this when the cardiac cell muscle is stimulated

What it does to contract

SA node ; right atrium

This is the normal pacemaker of the heart _____


And it is located here ________

Bipolar leads

Leads I II III

Lateral

Leads I aVL V5 and V6 views this surface of the left ventrical

Which"side"